Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568558468 Individual Practitioner Male Practitioner

Dr. Jeremy W Ellis , DDS

Dentist - General Practice • Logan, UT

Professional Overview & Biography Verified Profile Summary

Dr. Jeremy Ellis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Logan, UT. Practice services are available at 965 S 100 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

965 S 100 W
#102

Logan, UT 843216062

Telephone 4357529741
Fax 4357535169
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Logan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
36 Specialists

Practicing in Logan, UT (1388 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 99-373-9289922

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Jeannine Nielson , MS

Counselor - Mental Health

NPI 1093881799

Master of Science

Dr. Tim Belnap , DDS, PC

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1114128022

Doctor of Dental Surgery, PC

Laurel Carter , MS

Counselor - Mental Health

NPI 1265547699

Master of Science

Norma Peck , LCSW

Social Worker - Clinical

NPI 1467582155

Licensed Clinical Social Worker

NPI 1497922835

Doctor of Chiropractic, PC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 965 S 100 W, #102, LOGAN, UT 843216062 (Tel: 4357529741)

📍
Updated Business Mailing Address July 08, 2007

Registered at 965 S 100 W, #102, LOGAN, UT 843216062 (Tel: 4357529741)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JEREMY ELLIS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #99-373-9289922 in UT)

🟢
Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568558468
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

965 S 100 W, #102

Logan, UT 843216062

Phone: 4357529741

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.